This study aimed to evaluate the reasons for cochlear implant (CI) revision surgeries in pediatric and adult groups.
A total of 490 CIs were used for 423 patients between August 2005 and August 2019. Among these, patients who underwent a CI revision surgery were identified retrospectively. The reasons for CI revision surgeries were classified mainly as medical problems and device failure. These were also determined according to implant brands.
Of 423 patients with a CI surgery, 27 (6.3%) underwent a CI revision surgery. The revision implant rate was 4.9% for the pediatric group and 1.4% for the adult group. Five patients underwent a CI revision surgery due to medical problems (23.8%) and 16 due to device failure (76.2%) in the pediatric group, while 3 patients (50.0%) underwent a CI revision surgery due to medical problems and 3 (50.0%) due to device failure in adults.
A CI surgery is safe for patients with severe-to-profound sensorineural hearing loss, although a CI revision surgery has some potential. Device failure is the most common cause in children. It may be due to early implantation, frequent fall when children learn walking, or impaired vestibular function.
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Sorrentino T, Côté M, Eter E, Laborde ML, Cochard N, Deguine O, Fraysse B (2009) Cochlear reimplantations: technical and surgical failures. Acta Otolaryngol 129:380–384. https://doi.org/10.1080/00016480802552576
Mahtani S, Glynn F, Mawman DJ, O’Driscoll MP, Green K, Bruce I, Lloyd SKW (2014) Outcomes of cochlear reimplantation in adults. Otol Neurotol 35:1366–1372. https://doi.org/10.1097/MAO.0000000000000358
Wang JT, Wang AY, Psarros C, Cruz M (2014) Rates of revision and device failure in cochlear implant surgery: a 30-year experience. Laryngoscope 124:2393–2399. https://doi.org/10.1002/lary.24649
Balkany TJ, Hodges AV, Buchman ca et al (2005) Cochlear implant soft failures consensus development conference statement. Otol Neurotol 26:815–818. https://doi.org/10.1097/01.mao.0000178150.44505.52
Kim CS, Kim DK, Suh MW, Oh SH, Chang SO (2008) Clinical outcomes of cochlear reimplantation due to device failure. Clin Exp Otorhinolaryngol 1:10–14. https://doi.org/10.3342/ceo.2008.1.1.10
Migirov L, Taitelbaum Swead R, Hildesheimer M, Kronenberg J (2007) Revision surgeries in cochlear implant patients: a review of 45 cases. Eur Arch Otorhinolaryngol 264:3–7. https://doi.org/10.1007/s00405-006-0144-5
Côté M, Ferron P, Bergeron F, Bussières R (2007) Cochlear reimplantation: causes of failure, outcomes, and audiologic performance. Laryngoscope 117:1225–1235. https://doi.org/10.1097/MLG.0b013e31805c9a06
Kotait MA, Moaty AS, Gabr TA (2019) Vestibular testing in children with severe-to-profound hearing loss. Int J Pediatr Otorhinolaryngol 125:201–205. https://doi.org/10.1016/j.ijporl.2019.07.015
Dagkiran M, Tuncer U, Surmelioglu O, Tarkan O, Ozdemir S, Cetik F, Kiroglu M (2019) How does cochlear implantation affect five vestibular end-organ functions and dizziness? Auris Nasus Larynx 46:178–185. https://doi.org/10.1016/j.anl.2018.07.004
Cushing SL, Papsin BC (2018) Cochlear implants and children with vestibular impairments. Semin Hear 39(03):305–320. https://doi.org/10.1055/s-0038-1666820
Wolter NE, Gordon KA, Papsin BC, Cushing SL (2015) Vestibular and balance impairment contributes to cochlear implant failure in children. Otol Neurotol 36:029–1034. https://doi.org/10.1097/MAO.0000000000000751
Jain R, Mukherji SK (2003) Cochlear implant failure: imaging evaluation of the electrode course. Clin Radiol 58:288–293. https://doi.org/10.1016/S0009-9260(02)00523-8
Saeed SR, Ramsden RT, Hartley C, Woolford TJ, Boyd P (1995) Cochlear reimplantation. J Laryngol Otol 109:980–985
McJunkin J, Jeyakumar A (2010) Complications in pediatric cochlear implants. Am J Otolaryngol 31:110–113. https://doi.org/10.1016/j.amjoto.2008.11.012
Mehanna AM, Gamaleldin OA, Fathalla MF (2019) The misplaced cochlear implant electrode array. Int J Pediatr Otorhinolaryngol 117:96–104. https://doi.org/10.1016/j.ijporl.2018.11.027
Alexiades G, Roland JT, Fishman AJ, Shapiro W, Waltzman SB, Cohen NL (2001) Cochlear reimplantation: surgical techniques and functional results. Laryngoscope 111:1608–1613. https://doi.org/10.1097/00005537-200109000-00022
Arnoldner C, Baumgartner WD, Gstoettner W, Hamzavi J (2005) Surgical considerations in cochlear implantation in children and adults: a review of 342 cases in Vienna. Acta Otolaryngol 125:228–234. https://doi.org/10.1080/00016480410022895
Balkany TJ, Hodges AV, Gómez-Marín O, Bird PA, Dolan-Ash S, Butts S, Lee D (1999) Cochlear reimplantation. Laryngoscope 109:351–355. https://doi.org/10.1097/00005537-199903000-00002
Cunningham CD, Slattery WH, Luxford WM (2004) Postoperative infection in cochlear implant patients. Otolaryngol Head Neck Surg 131:109–114. https://doi.org/10.1016/2FS0194-5998(03)01225-7
Hoffman RA (1995) Complications of cochlear implant surgery. Ann Otol Rhinol Laryngol Suppl 166:420–422
Vashishth A, Fulcheri A, Prasad SC, Dandinarasaiah M, Caruso A, Sanna M (2018) Cochlear implantation in chronic otitis media with cholesteatoma and open cavities: long-term surgical outcomes. Otol Neurotol 39:45–53. https://doi.org/10.1097/MAO.0000000000001624
Incesulu A, Kocaturk S, Vural M (2004) Cochlear implantation in chronic otitis media. J Laryngol Otol 118:3–7. https://doi.org/10.1258/002221504322731538
Shapira Y, Yaar-Soffer Y, Hildesheimer M, Migirov L, Henkin Y (2015) Pain in cochlear implant recipients: an uncommon, yet serious, consequence of cochlear implantation. Laryngoscope 125:1946–1951. https://doi.org/10.1002/lary.25272
Todd NW, Fainberg JC, Ukatu CC, Venable CY, Segel P (2015) Pain-only complaint about cochlear implant device: a five-patient pediatric experience. Cochlear Implants Int 16:290–294. https://doi.org/10.1179/1754762814Y.0000000107
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The authors declare that they have no conflict of interest.
The authors had asked to institutional ethics committee for ethical clearance for such a retrospective study and were advised that this was not necessary, only informed consent were obligatory. Informed consent was obtained from all patients and family in this study. The article has not been presented anywhere.
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Gumus, B., İncesulu, A.S., Kaya, E. et al. Analysis of cochlear implant revision surgeries. Eur Arch Otorhinolaryngol (2020). https://doi.org/10.1007/s00405-020-06121-5
- Cochlear implant
- Revision surgery
- Device failure
- Soft failure
- Hard failure
- Medical problems